Beyond their criticism of GOP proposals for devolving health policy to the states, many Americans appear leery in general about a major overhaul to the health-care law often called Obamacare, with 61 percent preferring to "keep and try to improve" it, compared with 37 percent who say they want to "repeal and replace" it. Kaiser says premiums would go up more in the 19 states that have declined to expand Medicaid because the CSRs help individuals in those states who earn between $11,880 and $16,400. Currently, the federal government is spending $7 billion a year to lower deductibles and co-pays for about 8.4 million customers. This estimated $346 billion in tax cuts for the wealthy over 10 years will decrease funding for Medicare in that amount, hurting Medicare's strong financial footing.
Ryan told call attendees that the GOP's main priority this week won't be the healthcare bill, but tweaking spending legislation to prevent a government shutdown, CBS reported. That bill is looming as a test of whether Washington can carry out basic government functions in the contentious Trump era.
Or the new administration could appeal the district judge's ruling, as the Obama administration had planned.
Trump has suggested the cost-sharing subsidies could be a bargaining chip to bring congressional Democrats to the table on health care, after an unpopular GOP alternative bogged down.
Speaking on "Fox Sunday News", Mick Mulvaney, director of the Office of Management and Budget, said that the Senate Budget Committee has sent language on the health bill to the House as negotiations between Congress and the White House continue. But the Kaiser study modeled what might happen if companies stayed in the market even without government reimbursement for their cost-sharing expenses. Part of the reason overall government spending would increase is that many more people get subsidized premiums than receive cost-sharing assistance. As the 25-year-old Army veteran and political independent reasoned, "when you have people picking and choosing what to cover, you have this system of holes and disruption and disorder". For several years, polls showed more opposition than support, but the law's popularity rose sharply after Trump's election.
The Trump administration is hoping for Congress to repeal and replace within the president's first 100 days, leaving lawmakers just days to come to an agreement to meet the White House's goal.
"Either this ends up costing the federal government more money, or there's chaos that leads to people losing their health insurance", said the Kaiser Foundation's Levitt.